穴位注射辅助阶梯镇痛对胃癌晚期患者心理状态及生活质量的影响  

Effects of Acupoint Injection Assisted with Ladder Analgesia on Psychological State and Quality of Life of Patients with Advanced Gastric Cancer

作　　者：陶红蕾[1] 

机构地区：[1]浙江省立同德医院麻醉科,浙江杭州310012

出　　处：《中华中医药学刊》2015年第5期1204-1206,共3页Chinese Archives of Traditional Chinese Medicine

基　　金：浙江省科技厅项目(09007225)

摘　　要：目的:探讨穴位注射辅助阶梯镇痛对胃癌晚期患者心理状态及生活质量的影响。方法:选取2013年4月—2014年5月收治晚期胃癌患者130例,采用随机数字表法分为对照组(65例)和观察组(65例);其中对照组患者采用常规阶梯镇痛治疗,观察组患者则在此基础上加用穴位注射治疗,比较两组患者治疗前后抑郁自评量表评分(SDS),焦虑自评量表评分(SAS),简明健康调查问卷评分(SF-36)及匹兹堡睡眠质量评分(PSQI)等。结果:对照组患者治疗前后SDS评分,SAS评分及SF-36评分比较差异无统计学意义(P>0.05);观察组患者治疗后3项评分均显著优于对照组和治疗前,差异有统计学意义(P<0.05);两组患者治疗后PSQI评分较治疗前均显著下降,且观察组患者治疗后PSQI评分低于对照组,差异有统计学意义(P<0.05)。结论:穴位注射辅助阶梯镇痛用于胃癌晚期患者可有效缓解负面心理状态,提高生活质量,并在改善睡眠方面具有优势。Objective ：To investigate effects of acupoint injection assisted with ladder analgesia on psychological state and quality of life of patients with advanced gastric cancer. Methods ：130 patients with advanced gastric cancer were cho- sen in our hospital in the period from April 2013 to May 2014 and randomly divided into two groups including control group （65 patients） with conventional ladder analgesia and observation group （65 patients） with acupoint injection on the basis of control group; and the self depression scale score （SDS）, self anxiety scale score （SAS）, short form 36 health survey questionnaire （SF -36） and pittsburgh sleep quality score （PSQI） of both groups were compared. Results：There was no significant difference in scores of SDA, SAS and SF - 36 between 2 groups before and after treatment（ P 〉 0.05 ） ; the scores above of observation group after treatment were statistically significant better than control group and before treatment（P 〈0.05）. The PSQI scores of both groups after treatment were significantly lower than before treatment（P 〈 0.05 ） ; and the PSQI scores of observation group were significantly lower than control group （ P 〈0. 05 ）. Conclusion ： Acu- point injection assisted with ladder analgesia on psychological state and quality of life of patients with advanced gastric cancer can effectively alleviate negative mental state, higher quality of life and has advantages in improve sleep situation.

关 键 词：穴位注射 阶梯镇痛 胃癌 心理状态 生活质量 

分 类 号：R735.2[医药卫生—肿瘤]